HHS: Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Exclusion Authorities

Federal Register

Dec 2, 2024

Notice of proposed rule from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) that would codify changes made by the Medicaid Services Investment and Accountability Act of 2019 (MSIAA), which added exclusion authorities related to misclassification and false information about outpatient drugs. This proposed rule would also update and clarify OIG's procedures for excluding individuals and entities from participation in the federal healthcare programs, including the factors that will be considered in determining the length of exclusions, the provisions governing notices of exclusions, and certain provisions related to reinstatement into the programs. Comments are due by January 31, 2025.

Health insurance · Legislation and regulations · Medicaid · Outpatient care · Pharmacy and prescription drugs